HomeMy WebLinkAbout1980, 07-11 Permit: G6962 Pool HeaterPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB-ADDRESSaE
f—S a Z (ct fide / �'K��)
LOT BLOCK SUB IVIS O
2.
3.
ADDR S ,eP
CORACTOR
C.2-03/CZ-C err
LEGAL DESCRIPTION - SEE ATTACHED
/PSH OPNE
5--- 3
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East 'West
DESIGNER
BHONE
clay -an
419zvo
PHONE
Size of Parcel Zone Classification
Type Const.
Valuation
Occupancy Sprinklered
Dyes DNo D Req'd.
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. OOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE '
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8 SCRIBE yyORK/_ i_// .r �G_
ALUATIGONNL SOURRRCC',
E/ GA ELLIECTRIC WATER
OF
9. UTILITIES .
Enum. Dist. I Location (Area)
SEWER
Ownership
Public 0 Private 0
LSE CODE
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO (—
DATE OF APPLICATION 7 J� (/ eSIGNATURE OF APPLICANT I����r "
SPECIAL APPROVALS
. NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
• P7
d,as000
/•.m.
6741
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single •$
• Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
IT NUMBER
04* *600
*600 175
*600'6
E *000
6961R
07-11-80
2 6479.
/
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Amalir7'.810'.
DATE ISSUED
6'96,25 *6,0'0.a1-2 -
PERMIT NO. TOTAL
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0 O
V
LI -